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Organization
PEER RECOVERY SERVICES
Active
Organization
PEER RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN VICKREY (CHIEF FINANCIAL & OPERATING OFFICER)
(209) 509-4727
Entity
Organization
Contact information
Practice address
1109 N CALIFORNIA ST, STOCKTON, CA 95202-1537
(209) 451-3977
Mailing address
1109 N CALIFORNIA ST, STOCKTON, CA 95202-1537
(209) 451-3977
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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